Administration Basic Sciences Clinical Sciences Centers of Excellence
 

Nephrology Fellowship Program

The Section of Nephrology offers a co-joint fellowship program with the Ochsner Foundation Hospital. The program is accredited with commendation, and is approved for a total of six fellows (three new fellows are accepted each year).

First Year

The First Year is divided into two in-patient rotations and one out-patient rotation. The two in-patient rotations consist of five months at the LSU Interim Hospital, five months at the Ochsner Foundation Hospital. Two months will be spent at one of the Chronic Hemodialysis Clinics.

In addition, the first year fellow is expected to attend the Special Hypertension Clinic on Monday afternoons, and the Renal Clinic on Wednesday afternoons. Both clinics are located in the LSU Interim Hospital. 

Other conferences to attend include: the Nephrology Tuesday afternoon conference (Core Curriculum), Nephrology Friday afternoon conference (Clinical Case Management), Monthly Biopsy Conference, Medicine Department Grand Rounds, Bio-medical Conference, and the Morbidity & Mortality Conference (all are mandatory).

Second Year

The Second Year consists of a two month rotation with the Transplant Nephrology Group of the Ochsner Foundation Medical Center/Hospital, one month of peritoneal dialysis training, and three months of electives to be chosen among Pathology, Radiology, Pediatric Nephrology and Immunology. This is followed by six months of research training. Clinics and Conference attendance are also mandatory during the second year of fellowship training.

During the In-Service rotation the Fellows will learn indications for placement of temporary hemodialysis access and peritoneoscopically placed peritoneal dialysis catheters. Instruction will be given to learn and identify indications for techniques of percutaneous renal biopsy, both native kidney and transplants, to learn aspects of the placement care and maintenance of hemodialysis accesses, both grafts and native fistulas.

During the Hemodialysis Clinic rotations, the Fellows will assist in the hemodialysis kinetic sessions in order to imploy the importance of vascular access to dialysis adequacy.

During the rotation at the Ochsner Foundation Hospital the Fellows will assist:

  • Bone Clinic (2 ½ days per month)
  • Stone Clinic (2 ½ days per month)
  • General Nephrology Clinic (1 ½ day per week)
  • Transplantation Clinic (1 ½ day per week)

Curriculum-Nephrology Fellow-Clinical Rotation

IN-PATIENT

Nephrology Fellows will spend a minimum of ten months during their first year on the in-patient service at LSU Interim Hospital. They will be supervised at all times by a member of the full-time faculty. During this time they will be expected to develop increasing abilities as a consultant in Nephrology, supervising the activities of LSU Medicine House staff and developing specific skills in the following areas:

  • Diagnosis and treatment of clinical nephrologic diseases including nephrotic syndrome, nephritic syndromes, tubulointerstitial disease, obstructive nephropathy and hypertensive nephropathy.
  • Diagnosis and management of fluid, electrolyte and acid-base disorders.
  • Diagnosis and management of the patient with essential and renovascular hypertension with particular emphasis on the patient with renal disease secondary to hypertension.
  • Management of the patient with diabetic nephropathy.
  • Development of skills in the management of the critically ill patient, particularly relative to management of acute renal failure and attend fluid and electrolyte disorders.
  • Acute hemodialysis and acute peritoenal dialysis. Development of skills in these areas includes developing ability to secure access to the circulation for hemodialysis and access for peritoneal dialysis.
  • Familiarity with the use of a variety of indications in patients with renal failure with emphasis on drug-drug interaction.

OUT-PATIENT

During the Second-Year the Fellow has the following assignments:

  • Renal Transplant - two months. A separate curriculum for this rotation accompanies this document.
  • Radiology - one month. During this rotation the Fellow is expected to learn the interpretation of ultrasound examination, CT scans, MRI and radionuclide studies of the kidney.
  • Immunology - one month. During this rotation familiarity with tissue typing techniques and serologic studies related to the kidney is achieved.
  • Urology - one month. Familiarity with urologic procedures including lithotripsy is achieved during this rotation.
  • Pediatrics - one month. This month is spent working with pediatric nephrology service familiarizing himself/herself with the renal problems peculiar to the pediatric population.
  • Research - six months. The Fellow is expected to become involved in a clinical or laboratory research project of a scope to be completed in this period. The project shall lead to presentation or publication.

*For more information please contact Kim Adams at (504) 568-8655.

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